Answer questions to the best of your knowledge and belief. All material facts must be disclosed as failure to do so may nullify any policy or certificate issued. A material fact is one likely to influence acceptance or assessment of this proposal by Insurers. If you are in any doubt as to what constitutes a material fact, you should consult your broker. If you consider that any question requires expert knowledge which you are unable to provide, indicate this in your answer.
Please email or fax state or location specific leases to the producer listed above. Fax to :